GREAT LAKES HEALTH, LLC (NPI# 1942621990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942621990 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES HEALTH, LLC |
| Practice Address |
2726 N Saginaw Rd Midland MI 48640-2633 |
| Practice Telephone | 9898394560 |
| Practice Fax Number | 9898394565 |
| Mailing Telephone | 9898394560 |
| Mailing Fax Number | 9898394565 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | SARA AILEEN CRAWFORD (OWNER/ANP) |
| Authorized Official Telephone | 9898394560 |
| Authorized Official Credential | ANP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4704175287 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1483761 | 05 |
| Street Address |
2726 N SAGINAW RD |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285680223 | Sara Aileen Crawford | Nurse Practitioner | 2726 N Saginaw Rd, Midland, MI 48640-2633 | 2006-05-25 |
| 1073654588 | Janet S. Fromhold | Social Worker | 2726 N Saginaw Rd, Midland, MI 48640-2633 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1639329949 | Courtyard Primary Care & Medical Spa,pa | Clinic/Center | 4410 N Midkiff Rd Ste D6, Midland, TX 79705-4249 | 2008-09-23 |
| 1194852400 | Midland Minor Pa | Clinic/Center | 2310 W Ohio Ave, Midland, TX 79701-5844 | 2007-02-27 |
| 1740841451 | Pro-health Medical Fp-midland | Clinic/Center | 111 E Wackerly St Ste D, Midland, MI 48642-7043 | 2019-06-24 |
| 1417429028 | Medical Care Innovation, P.C. | Clinic/Center | 715 East Main Street, Midland, MI 48640 | 2018-12-20 |
| 1740701184 | Ogeda Family Care, Pllc | Clinic/Center | 4506 Briarwood Ave Ste A, Midland, TX 79707-2642 | 2017-07-06 |
| 1528451101 | Tall City Convenient Primary Care | Clinic/Center | 4519 N Garfield St, Suite 6, Midland, TX 79705-3415 | 2015-03-06 |
| 1316363187 | Kristen J Kozma Do Pa | Clinic/Center | 1304 W Texas Ave, Midland, TX 79701-6176 | 2014-03-17 |
| 1316218597 | T.j. Nugent D.c., P.l.c. | Clinic/Center | 2931 Manor Dr, Midland, MI 48640-4476 | 2012-01-20 |
| 1497047781 | Four Seasons Health and Wellness | Clinic/Center | 2200 W Wadley Ave, Suite 10, Midland, TX 79705-6438 | 2011-05-05 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.